| NPI | 1578596029 |
|---|---|
| Former Name | NADINE SONJA HALLIBURTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 060079) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 27038) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2018-07-05 |